A case of biotin-responsive 3-methylcrotonylglycin- and 3-hydroxyisovaleric aciduria
- 1 October 1979
- journal article
- research article
- Published by Springer Nature in European Journal of Pediatrics
- Vol. 132 (2) , 107-114
- https://doi.org/10.1007/bf00447377
Abstract
During selective screening for organic acidurias, a 10-week-old girl with muscular hypotonia and recurrent fits was shown to be excreting 3-methylcrotonylglycin and 3-hydroxyisovaleric acid. Besides these metabolites of leucine the presence of small but pathological amounts of propionic and methylcitric acids were demonstrable in her urine, pointing to a defect in the metabolism of biotin. On treatment with biotin (2×5 mg/day) the convulsions stopped at once, her clinical condition improved gradually, and the abnormal metabolites disappeared from the urine. Within 6 weeks the child was discharged in a good general condition without apparent signs of neurological damage.Keywords
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